机器人辅助腹腔镜根治性前列腺切除术后机器人辅助腹腔镜经腹腹膜前腹股沟疝修补术的效用
Utility of Robot-assisted Laparoscopic Transabdominal Preperitoneal Repair of Inguinal Hernia Following Robot-assisted Laparoscopic Radical Prostatectomy.
作者信息
Funamizu Naotake, Mineta Sho, Ozaki Takahiro, Mishima Kohei, Igarashi Kazuharu, Omura Kenji, Takada Yasutsugu, Wakabayashi G O
机构信息
Department of Surgery, Ageo Central General Hospital, Ageo, Japan;
Department of Hepatobiliary Pancreatic Surgery, Ehime University, Toon, Japan.
出版信息
In Vivo. 2022 May-Jun;36(3):1432-1437. doi: 10.21873/invivo.12848.
BACKGROUND
To evaluate the utility of robot-assisted laparoscopic transabdominal preperitoneal repair (R-TAPP) of postprostatectomy inguinal hernia (PIH) in patients who underwent robot-assisted laparoscopic radical prostatectomy (RALP).
PATIENTS AND METHODS
This was a prospective, single-centre retrospective cohort study. R-TAPP was conducted in 74 consecutive patients from September 2016 to March 2020. With the exception of women and patients who underwent previous abdominal surgery, 70 patients were classified into two groups based on the absence or presence of PIH. Their data were retrospectively compared to those who had not undergone RALP.
RESULTS
The median operative time for the PIH group was longer compared to the non-PIH group. However, postoperative complications, including seroma formation, haematoma and surgical site infections, were not significantly different between the groups. The estimated blood loss was small, and hospitalisation duration was 1 day in all cases. Moreover, there were no hernia recurrences within the 90-day follow-up period in either group.
CONCLUSION
R-TAPP is a feasible and safe approach for inguinal hernia repair, even in patients who undergo RALP for prostate cancer.
背景
评估机器人辅助腹腔镜经腹腹膜前修补术（R-TAPP）在接受机器人辅助腹腔镜根治性前列腺切除术（RALP）的前列腺切除术后腹股沟疝（PIH）患者中的应用价值。
患者与方法
这是一项前瞻性、单中心回顾性队列研究。2016年9月至2020年3月，连续74例患者接受了R-TAPP。除女性和既往有腹部手术史的患者外，70例患者根据是否存在PIH分为两组。将他们的数据与未接受RALP的患者进行回顾性比较。
结果
PIH组的中位手术时间比非PIH组长。然而，两组术后并发症，包括血清肿形成、血肿和手术部位感染，差异无统计学意义。估计失血量少，所有病例住院时间均为1天。此外，两组在90天随访期内均无疝复发。
结论
即使对于因前列腺癌接受RALP的患者，R-TAPP也是一种可行且安全的腹股沟疝修补方法。
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